Mr. Dowell has published several articles and spoken at conferences regarding various health law issues, including compliance, fraud and abuse, pharmacy law, federally qualified health centers, HIPAA privacy and security, and managed care contracting and payment disputes.

Mr. Dowell has particular experience in the following areas:

Federally Qualified Health CentersMr. Dowell has significant experience counseling nonprofit health care organizations, including state licensed primary care clinics, community health centers, and federally qualified health centers, on a broad range of legal matters. He has advised clients on compliance with state licensure and Section 330 requirements, joint ventures, affiliations, vendor contracts, reimbursement matters, compliance programs, preparing for and responding to government audits, and challenging disputed government findings/actions, including but not limited to the areas of expertise listed below:

Healthcare Law Transactions and Regulatory MattersMr. Dowell provides health insurers and other managed care organizations regulatory advice concerning compliance with various state and federal health care and state managed care plan and insurance laws and regulations, including Medicare Advantage, Medicaid Managed Care, PACE programs, the Affordable Care Act and other health reform initiatives. He helps them obtain regulatory approvals from federal and state agencies, including the Centers for Medicare and Medicaid Services, and The California Department of Managed Health Care, Department of Insurance, and Department of Health Care Services. He represents clients in related federal and state agency enforcement matters and transactional matters, including but not limited to the areas of expertise listed below:

Managed Care Plan Licensure and Regulation

Managed Care Payment and Contracting

Health Care Provider Certification, Accreditation and Licensure

IPAs, Medical Groups, and Physician Organizations

Management Services Organizations

Physician Compensation, Benefits, Recruitment and Contracts

HIPAA Privacy and Security

Telemedicine and E-Prescribing

Electronic Health Records

Representation of Dialysis, Radiology and Laboratory Facilities

Value Based Payments

Retail/Concierge Medicine

Compliance Program Development, Counseling, and Defense

Anti-Kickback Law, Self-Referrals, and False Claims Act Matters

Mergers, Acquisitions, Joint Ventures and Affiliations

Government Audits, Investigations, and Self-Disclosure Protocols

Healthcare Contracting, Disputes, Litigation and Risk Management

Professional Background

Mr. Dowell joined Hinshaw & Culbertson LLP in December 2009. Previously he was a co-chair of the Health Care Industry Group at Theodora Oringher Miller & Richman PC in Los Angeles.

Mr. Dowell began his legal career in 1983 as a staff attorney with the National Health Law Program in both Washington, D.C. and Los Angeles. In 1989, he became corporate counsel to CIGNA Healthcare of California. From 1991 to 2006, he was Chair of the Health Care Practice Group at Miller & Holguin in Los Angeles.

Professional Affiliations

California Society for Healthcare Attorneys, Education Committee, Appointed Member

American Bar Association, Health Law Section

State Bar of California, Business Law Section

Los Angeles County Bar Association, Health Law Section, Past Chair

American Health Lawyers Association

American Society for Pharmacy Law

Honors & Awards

Named annually since 2005 to the Super Lawyer list published in Southern California Super Lawyer magazine and Los Angeles magazine

Advising pharmacies on HIPAA and HITECH privacy and security requirements.

Development of template contracts and Policies and Procedures.

Identification of regulatory and compliance issues for radiopharmaceutical products.

Representation of buyers and sellers in the purchase of pharmacies.

Assist pharmacies in the implementation of electronic prescribing and electronic health records.

Provision of advice to covered entities and contract pharmacies on 340B program compliance.

Assist clients in developing compliance strategies, including review and analysis of pharmacy laws and regulation in all USA States and Territories.

Provision of advice and counsel on DEA requirements for controlled substance distribution and dispensing.

Health Care Transactions and Regulatory Matters

Structured, negotiated and documented $80 million sale of a management company and affiliated physician practices located in multiple states to a large publicly traded company.

Conducted health care regulatory due diligence and general corporate representation of client in its acquisition of a four-hospital Health System.

Developed and implemented a Corporate Compliance Plan, code of conduct, and policies and procedures for a nonprofit integrated delivery system comprised of an HMO, physician organization, federally qualified health clinic, and community health programs.

Conducted an internal investigation for a Medicare and Medicaid HMO to determine compliance with Medicare marketing requirements.

Presentations

Mr. Dowell also speaks regularly to many organizations, including the American Association of Health Plans, American Health Lawyers Association, California Association of Dental Plans, California Association of Health Plans, California Black Health Network, National Black Prosecutors Association, National Dental Association, National Health Law Program, National Health Lawyers Association, State Bar of California and the Health Care Law Section of the Los Angeles County Bar Association. His presentations include: